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Organization

PULASKI MEMORIAL HOSPITAL

Active
Other names
Majestic Care of West Allen
Organization subpart
No

Provider details

NPI number
Authorized official
MR. GREGG A. MALOTT (DIRECTOR OF BUSINESS DEVELOPMENT)
(574) 946-2100
Entity
Organization

Contact information

Practice address
6050 S CR 800 E-92, FORT WAYNE, IN 46814-9201
(260) 625-3545
(260) 625-4993
Mailing address
6050 S CR 800 E-92, FORT WAYNE, IN 46814-9201
(260) 625-3545
(260) 625-4993

Taxonomy

Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
14-000215-1
IN

Other

Enumeration date
08/14/2014
Last updated
05/02/2019
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